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Technical Strategies – Intraoral Placement of the Midface Mask Implant

Aesthetic augmentation of the midface is historically done by standard implants such as that of the cheeks, paransasal, premaxillary and tear troughs. While these can be effective for proving volume to ‘spot’ deficiencies, their use is more limited in patients that have an overall midface deficiency. While using various combinations of these standard midface implants Read More…

Technical Strategies – Vertical Temporal Brow Bone Reduction Through an Upper Eyelid Incisional Approach

The shape of the eye is affected by its numerous hard and soft tissue anatomic components. The bony orbit is one of the eye’s major influences on its shape as it provides a circumferential rim of support onto which all surrounding soft tissues are attached either directly or indirectly. While there is no standard bony Read More…

Plastic Surgery Case Study – Custom Skull Implant for Coverage of Parietal Skull Indentations

Background: The shape of the skull is affected by many factors from in utero development to after birth external molding influences. This can result in non-smooth surfaces and irregular convex skull contours. While most people have an intimate knowledge about the shape of their skull, usually by feel, when it becomes exposed as can occur Read More…

Plastic Surgery Case Study – Dorsal Augmentation Rhinoplasty with a Chin Bone Graft

Background: Augmentation of the bridge of the nose, known as dorsal augmentation, is a common need in certain types of rhinoplasty surgeries. Low nasal bridges occur for a variety of reasons but the most common is genetic…this is just the way the nose developed. This is seen particularly in certain ethnicities such as Asian and Read More…

The Buccal Lipectomy and Perioral Liposuction Combined Midface Slimming Approach

Changing the shape of the face is largely done by altering the bony framework that supports it. Whether it be by augmentation or reduction methods, facial reshaping surgery modifies the structural support of the face onto which the soft tissues drape over and around. There are soft tissue facial reshaping procedures as well which, beyond Read More…

Plastic Surgery Case Study – Midline Back Approach for Rib Removal Waistline Reduction Surgery

Background: Waistline narrowing is most commonly done through standard body contouring methods such as liposuction and tummy tuck muscle plication techniques. But when those surgical maneuvers are unable to achieve the patient’s goals or they are not a candidate for them due to a lean body frame, then more advanced techniques such as rib removal Read More…

The Equilateral Triangle Concept in Custom Jawline Implant Design

The shape of the natural jawline has many components which are primarily influenced by its three corners. (chin and jaw angles) Each corner has three dimensions and when all put together, including how they connect, determines what the final shape of the lower third of the face is. The same dimensional considerations applies to the Read More…

OR Snapshots – Nostril Reshaping by Combined Width and Length Reduction

The width of the nostrils is the only soft tissue aspect of the nose that can be surgically altered through tissue removal. The base of the nostril contains neither cartilage or bone. It has only fibrofatty tissue and skin. This is unlike all other rhinoplasty maneuvers that add or subtract tissue rom the existing osteocartilaginous Read More…

Technical Strategies – Infra Eyebrow Approach to Brow Bone Reduction

Brow bone reduction for prominent supraorbital ridges is done in both men and women. The standard approach is from a scalp access whether that is done from a coronal or frontal hairline incision. By exposing the entire forehead and brow bones through forehead flap turn down, burring or bone flap reduction techniques can be used. Read More…

Plastic Surgery Case Study – Custom Forehead-Skull Implant for Female Forehead Augmentation

Background: The shape of the female forehead has some different features than that of a male. It has more of a vertical inclination and a rounder and more convex shape from side to side. There is usually no discernible brow bone break due to having smaller frontal sinuses. In contrast a male has slightly more Read More…